Dean Lu Hai talks about medical concepts
Note: Spring goes and spring comes back, flowers wither and bloom again; time is like water, going east and never returning; drink wine wisely. Song, how long is life? The Great Wall is still there, but the First Emperor is nowhere to be seen. I sigh that life is short, but I am lucky to meet a good brother. Learn without thinking about confusion, study diligently and think forward. Listening to your words is worth ten years of reading. If you have knowledge, you should share it. , Don't dare to do it for personal gain; it's beyond the reach of officials, so Jungui remembers it like this.
Ideas are rational concepts.
It covers thoughts, views, opinions, theories, methods, opinions, etc.
Medical concept is the rational concept in the medical process. It is the thoughts, viewpoints, theories and opinions that medical workers, patients and their families need to understand, master and apply.
To treat the disease, you must first treat the heart, and philosophy is the key.
The medical concept is for both doctors and patients (family members), not just one party.
In the medical process, whether the concept of doctors and patients is correct or not determines the safety and efficacy.
The ten concepts are described as follows:
(1) System concept-the four-in-one concept of gun, bullet, shooter, and rake.
Medical care is a systematic project, a four-in-one system of theories and methods, drugs, doctors, and patients. No aspect can be left out.
The gun is the medical theory and treatment method, which is the first priority in treating diseases. Only with correct medical theories and treatment methods can we obtain good curative effects.
Bullets are medicine. Only when a doctor gives the patient the right medicine can he or she be cured. The quality of a medicine does not matter, as long as it can cure the disease, it is a good medicine.
The shooter is the doctor. After a doctor gives medicine to a patient, whether the effect is good or not depends on the level of your medical skills.
The rake is the patient's disease. What is reflected is that there is no rake on the bullet, and the number of rings on the rake is, in the final analysis, the efficacy.
The key point to grasp this system is how doctors and patients can cooperate well to achieve both safety and good curative effect.
If there are no good guns and good bullets, even the most skilled doctor will not be able to cure the disease;
If the doctor does not have good medical skills, even the most minor disease will not be cured;
If the patient does not cooperate, no matter how skilled the doctor is, it will be in vain.
This concept also tells everyone that in the process of seeking medical treatment, patients must choose good medical theories and methods, choose doctors they trust, and look for good medicines. They cannot just go for them blindly. Big hospitals and so-called famous doctors.
(2) Concept of hope - as long as there is 1 hope, 100 efforts must be made.
Human life is the most precious, and life is only once and cannot be reborn.
If you can see a glimmer of hope, then why can't you work hard?
Those who can accept this concept will benefit most;
Those who do not accept this concept will have no choice but to give up.
Giving up means complete failure.
(3) The concept of efficacy - three points of medication, seven points of care.
There are two most important points in treating diseases:
One is safety;
The other is efficacy.
What does the therapeutic effect depend on?
Relying on the close cooperation between doctors, patients and their families.
This concept is inspired by three points of treatment and seven points of maintenance.
(4) Mentality concept - love, meticulousness, responsibility and confidence, patience and perseverance.
Mentality is the first priority in medical treatment. Both doctors and patients must have a good mentality. This is the most fundamental issue.
Doctors need to be caring, careful and responsible.
Love means loving career and loving patients;
Meticulousness means being smart and careful in diagnosis, medication and services;
Responsibility means caring for patients Be highly responsible.
For patients, it requires confidence, patience and perseverance.
Confidence means that patients must be confident that their disease will be cured. If a patient loses confidence in his or her disease, even the most brilliant doctor will be unable to do anything;
Patience means working tirelessly and not being afraid of trouble, and must do what needs to be done according to the doctor's requirements;
Be patient; p>
Perseverance means being able to persevere for a long time, not fishing for three days and drying the net for two days.
(5) Boiling concept - clarify the relationship between 99.9 degrees and 100 degrees.
Boiling water does not boil until it reaches 100 degrees Celsius. Even if it reaches 99.9 degrees, it will not boil even if it is less than 0.1 degrees. This is the objective law.
To apply the boiling concept to medical treatment, both doctors and patients must understand that the patient's disease can only be cured when it reaches a certain critical line.
Some doctors said that there is a standard for the boiling point of boiling water, so what is the critical line standard for patients?
Although there is no unified standard in this regard, there are rules to follow. The length of treatment for the same disease is different and the effects are also different.
It varies from person to person: usually men get better faster than women; young adults get better faster than the elderly; people with strong physiques get better faster than those with weak physiques in the same age group; people with better economic conditions get better faster than those with better economic conditions. Those who are bad should wait for the better.
It varies depending on the disease: whether the disease is mild or severe, whether there are many diseases or few, whether the concept is correct or not, how much attention is paid to it, etc.
Therefore, each patient has his own corresponding critical line, and there is no cookie-cutter formula. This is also determined by the particularity of the disease.
Treating diseases must follow objective laws.
Some doctors send the patient away when they see that the patient has not recovered after treatment for a period of time;
Some patients take ten to pay for the medicine, but when they see that the patient is not cured, I looked for other hospitals, and after seeing several hospitals, they still looked like this, so I lost confidence in my disease.
The reason is that they did not understand and apply this boiling concept.
(6) The concept of twists and turns - moving forward in a twists and turns cycle of aggravation, relief, repetition, and relief again.
The development of anything does not advance in a straight line, but in wave-like twists and turns.
The same goes for treating diseases. You cannot escape from the circle of objective laws. There is aggravation - reduction - repeated - and then reduction. This is a cycle. Every time you go through a cycle, it is a step forward, and you need to have Multiple or countless such cycles can eventually lead to recovery.
(7) The concept of timing - advance is curative effect, timing is life.
The fable "We'll Talk Later" tells the story of a businessman who carried two large baskets of porcelain on the back of a mule. After walking for a while, a passerby saw that the baskets were crooked and told him to straighten them. He replied nonchalantly: "We'll talk about it later." After walking for a while, a passerby told him for the second time that the basket was wrong and he had to correct it quickly. He still replied, "We'll talk about it later." He was told for the first time that the advantages and disadvantages of the basket evil would be corrected immediately, and he replied again: "We will talk about it later." Not long after, he encountered a very difficult road, and the mule tripped on the stone under his feet, and the two big baskets All the porcelain fell to the ground and shattered. When the businessman saw this, he burst into tears.
This story tells everyone that the timing of correction is very important. If only one of the three reminders from passers-by was corrected, this would not be the result.
The timing of treatment is also divided into three stages:
The first is the best treatment.
This situation is best treated in the early stages of the disease, but 90% of patients don’t care.
The second is the general treatment period.
This is the middle stage of the disease. Treatment is very promising at this time. 25% of people can seize this opportunity, but most people still don’t care.
The third is the latest treatment period.
It is the beginning of the late stage of the disease. There is still hope for treatment at this stage. 40% of people can seize this opportunity, but most people are still "waiting for a while."
Many people have to wait until they are terminally ill before they even think of seeking medical treatment. The result is no different from this businessman's. All that awaits him is bad luck and he is about to cry without tears.
So in medical treatment, advance is the curative effect, time is life, and the concept of timing is very important.
(8) The concept of combined treatment - when multiple diseases are intertwined, they need to be treated together.
There are very few human diseases that are just one type alone. They are often composed of 2-3, 4-5, 6-7, or even more intertwined. Among these intertwined diseases, there is me among you, and you among me. Treatment is not a one-time rule, but a scientific and step-by-step arrangement of treatments according to priorities, levels, and steps.
First, it is necessary to understand this concept ideologically;
Second, the patient needs to tell all his symptoms so that the doctor can arrange treatment in sequence. You cannot say half and leave half, let alone say only the light and not the heavy, or only the heavy and not the light. Otherwise, when treating this disease, one or more diseases will emerge, which will lead to detours or even regression.
(9) The concept of sincerity - doctors and patients need to treat each other sincerely and communicate in a timely manner.
Making friends requires sincerity.
Treatment is no exception. Doctors need to be sincere, and patients (family members) also need to be sincere.
From a doctor’s point of view:
First, if you have a disease that you cannot cure yourself, you need to tell the truth and tell the patient to call someone else, so as not to delay other people’s opportunity to treat the disease;
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The second is to spend less if it can help patients spend less, and not to make unconscionable money;
The third is to work hard on safety and efficacy, so as to make patients as comfortable as possible Obtain good results;
The fourth is to promptly answer and deal with the adverse or abnormal symptoms reported by the patient;
The fifth is to keep the patient's medical records, especially personal privacy, strictly confidential .
From the patient's perspective:
First, do not hide your condition and tell the truth, without any privacy in front of the doctor;
Second, be proactive Cooperate with the doctor's treatment and do not regard treating yourself as the doctor's business;
The third is to promptly feedback bad or abnormal information to seek the doctor's guidance and help;
The fourth is to treat serious illness lightly, fearing that doctors will not accept treatment. This situation seriously affects the doctor's judgment and medication. As a result, the doctor wastes money and hurts himself.
(10) Risk Concept - It is better to risk everything than sit back and wait for death.
Anyone who does big things needs to have a spirit of adventure, because risks and benefits coexist.
If you rush forward on the battlefield, you may be killed by the enemy, and if you retreat, you will be shot by your own people. It is better to use tactics flexibly and make full use of the terrain, rush forward desperately, and maybe you can still escape. A bloody road. During the war years, many marshals and generals pursued this risky concept and succeeded in the end.
First of all, doctors must dare to take risks.
A scientist once said that there is no incurable disease in the world, but there is no method or drug to treat a certain disease yet.
If all doctors take a detour when encountering even the slightest risk, then world medicine can only stagnate at its original level, or even regress, without any development or progress.
Of course, we do not advocate recklessness. Taking risks requires boldness, carefulness, and wisdom. While considering the good aspects, you must also consider the worst aspects. Moreover, we are in an era when the contradiction between doctors and patients is fierce.
Secondly, patients and their families must also dare to take risks and make necessary attempts.
When you know that you or your loved ones are terminally ill, instead of just sitting there and waiting for death, it is better to take action and maybe get a new life.
Personally, I believe that the medical concepts mentioned above are objective and are not subject to human will.
As long as you understand, master and use objective things, it will serve you.
If you violate it, you will be severely punished.
What I hope is that everyone benefits from it as much as I do.
He also said: Medical treatment is like this, and how you deal with people should not be out of your control.
Ding Jungui
April 3, 2019